TAMPA, Fla., Jan. 26, 2015 /PRNewswire/ -- Premier Eye Care today announced that it has received Certification for Utilization Management and Credentialing from the National Committee for Quality Assurance (NCQA).
The NCQA's Utilization Management and Credentialing Certification is a quality assessment program that focuses on consumer protection and customer service improvement. The Certification, which is the result of a voluntary review process, reduces the level of review and information gathering required for current or future health care partners to do business with Premier.
NCQA standards are extremely demanding, and the Certification puts Premier on par with the nation's top health plans in following best practices while encouraging continuous improvement in the areas of Utilization Management and Credentialing.
"We are extremely pleased to earn this Certification from NCQA," said Lorna Taylor, President and CEO of Premier Eye Care. "This speaks to the quality of the Utilization Management and Credentialing functions at Premier, part of our ongoing efforts to remain best-in-class in our industry."
NCQA's accreditation process involved a rigorous review of Premier's Utilization Management and Credentialing functions to ensure that Premier follows processes that respect members' and practitioners' rights, that only appropriately trained and qualified clinical personnel conduct and oversee utilization review, and that medical decisions are based on evidence-based clinical criteria.
"Achieving Utilization Management/Credentialing certification from NCQA demonstrates that Premier Eye Care has the systems, process and personnel in place to conduct utilization management and credentialing in accordance with the strictest quality standards," said Margaret E. O'Kane, NCQA President.
About Premier Eye Care: Founded in 1994, Premier Eye Care manages the eye care of over 3 million insured members in multiple states through a network of contracted optometrists, ophthalmologists, sub-specialists, and surgical facilities. Headquartered in Tampa, Florida, with an operations center in Delray Beach, Florida and Honolulu, Hawaii. Premier Eye Care manages routine vision, medical-surgical eye care services, as well as delegated administrative services, for its partner Health Plans. For more information, please visit www.premiereyecare.net.
About NCQA: The National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers. NCQA has reviewed and certified Premier Eye Care's Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.
SOURCE Premier Eye Care